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Palliative care for patients with motor neurone disease: current challenges

Motor neurone disease is a progressive disease, and the patient and his/her family face many challenges during the disease progression, with increasing weakness and multiple losses of function. The provision of care for these patients and their families is equally challenging, anticipating and respo...

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Autor principal: Oliver, David J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6053090/
https://www.ncbi.nlm.nih.gov/pubmed/30050369
http://dx.doi.org/10.2147/DNND.S85103
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author Oliver, David J
author_facet Oliver, David J
author_sort Oliver, David J
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description Motor neurone disease is a progressive disease, and the patient and his/her family face many challenges during the disease progression, with increasing weakness and multiple losses of function. The provision of care for these patients and their families is equally challenging, anticipating and responding to the person’s needs. There are increasing challenges as more is understood about the disease and its management, including the genetic basis, cognitive change, the use of interventions such as ventilatory support, and gastrostomy. There is also an increasing need to ensure that the later stages are recognized so that all can be more prepared for the end of life, including recognition of deterioration and end of life, advance care planning, symptom management and psychosocial care at the end of life, and coping with requests for assisted dying. Careful assessment and good multidisciplinary team (MDT) work can enable patients and their families to have as good a quality of life as possible, and allow a peaceful death of the patient.
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spelling pubmed-60530902018-07-26 Palliative care for patients with motor neurone disease: current challenges Oliver, David J Degener Neurol Neuromuscul Dis Review Motor neurone disease is a progressive disease, and the patient and his/her family face many challenges during the disease progression, with increasing weakness and multiple losses of function. The provision of care for these patients and their families is equally challenging, anticipating and responding to the person’s needs. There are increasing challenges as more is understood about the disease and its management, including the genetic basis, cognitive change, the use of interventions such as ventilatory support, and gastrostomy. There is also an increasing need to ensure that the later stages are recognized so that all can be more prepared for the end of life, including recognition of deterioration and end of life, advance care planning, symptom management and psychosocial care at the end of life, and coping with requests for assisted dying. Careful assessment and good multidisciplinary team (MDT) work can enable patients and their families to have as good a quality of life as possible, and allow a peaceful death of the patient. Dove Medical Press 2016-05-26 /pmc/articles/PMC6053090/ /pubmed/30050369 http://dx.doi.org/10.2147/DNND.S85103 Text en © 2016 Oliver. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Review
Oliver, David J
Palliative care for patients with motor neurone disease: current challenges
title Palliative care for patients with motor neurone disease: current challenges
title_full Palliative care for patients with motor neurone disease: current challenges
title_fullStr Palliative care for patients with motor neurone disease: current challenges
title_full_unstemmed Palliative care for patients with motor neurone disease: current challenges
title_short Palliative care for patients with motor neurone disease: current challenges
title_sort palliative care for patients with motor neurone disease: current challenges
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6053090/
https://www.ncbi.nlm.nih.gov/pubmed/30050369
http://dx.doi.org/10.2147/DNND.S85103
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